Anesthesia Associates of Pocatello, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ANESTHESIA ASSOCIATES OF POCATELLO, PA

Practice address

333 N 18TH Ave
Suite a
Pocatello, ID 83201

Phone

(208) 233-8880

Fax

(208) 232-1950

NPI assigned

Apr 10, 2007

Last updated

Sep 24, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carol Gilbert, CPC, CPMA

Title

Practice Manager

Phone

(208) 232-7760

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Floyd Davis, MD

  • Anesthesiology Physician
  • Cottonwood, AZ
  • NPI 1598713695
  NPD (past)
• Robert Lee Erwin Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Colby, KS
  • NPI 1679614747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1891918983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4107",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054107",
            "telephone_number": "208-232-7760",
            "fax_number": "208-232-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "SUITE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-233-8880",
            "fax_number": "208-232-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF POCATELLO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "208-232-7760",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC, CPMA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002797400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002797500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "CD5673",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Anderton
• Josie Andreski
• Andrew Stoddard Dental Services, PLLC
• Kimberly Jo Andrew, LCPC
• Mackenzie Andrews
• Anesthesia ZZZ LLC
• Anew Day Physical Therapy LLC
• Gabriela Anghel, MD
• Anthony Joseph MD Inc
• Antler and Moss Counseling LLC

• Specialist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.